A east (Diabetes-Friendly)ﬁt...death in November 2011. “Dr. Zweiler has an outstanding...

n

magazine

issue 51 YOUR FIRST LINE OF DEFENSE MEDICAL ULTRASOUND

A (Diabetes-Friendly) feast fit

for a king

Visit

The EVMSHealthyHouse

Built by LR HiLL Custom Builders Supporting the EVMS Fund

OCtOBER 13-28 wwwhomearamatv

At its core EVMS exists and thrives because of one thing community Wersquore here because the people in this region needed better access to health care and we strive every day to meet Hampton Roadsrsquo growing needs by teaching new physicians and health professionals pushing the scientific envelope in our labs and providing high-quality care to more than 1000 patients every day

upcomingevents October 13-28 Fall 2012 Homearama

Make plans to visit the EVMS Healthy House at this years fall Homearama event at East Beach in Norfolk Tour the home and take part in a variety of healthy activities Visit wwwHomearamaTV

November 17 Diabetes Awareness Night with the Norfolk Admirals Enjoy a night of fast-paced action and show your support for the Strelitz Diabetes Center at EVMS during the second annual night of hockey at the Norfolk Scope Diabetes staff will be on hand to offer free diabetes screenings Tickets are only $11 each a portion of ticket sales benefit EVMS diabetes research To reserve your tickets visit wwwevms eduadmirals

November 29 EVMS Strelitz Diabetes Center Opening Celebrate the opening of the newly renovated center that offers cutting-edge care supported by research and patient education Tour the new space and interact with scientists and physicians For more information visit wwwevmsedumagazine

issue 51

magazine

EVMS staffs the only Level 1 trauma center in the region

Eating healthy doesnrsquot mean suffering through a dull diet

Medical ultrasound comes of age

features 16 Your first line of defense

When life hangs in the balance the EVMS surgeons staffing Sentara Norfolk General Hospitals Level 1 trauma center answer the call 24 hours a day 365 days a year

22 A (diabetes friendly) feast fit for a king Eating healthy doesnt have to mean sacrificing taste Executive Chef Edward Storey of Bardo Edibles + Elixirs and Dietician Phyllis Woodson of the EVMS Strelitz Diabetes Center prepare a meal so delectable youll forget that its good for you too

30 Is the stethoscope about to become extinct EVMS is taking a leadership role in advancing the everyday use of ultrasound and preparing the health-care workforce of tomorrow to take advantage of this increasing portable and affordable technology

EVMS MagazinE issue 51 wwwevmsedu 3

OUR VISION Eastern Virginia Medical School will be recognized as the most community-oriented medical school in the nation

6 8 10 12 34 43

departments6 Vital Stats

The EVMS Jones Institute

7 News + Notes President Lester named regionrsquos First Citizen EVMS and William amp Mary to explore possible merger Richard Zweifler MD appointed Chair of Neurology Board elects first female rector

CONRAD makes leadership change Student outreach heads to Haiti EVMS and Anthem Foundation team to battle diabetes

New student orientation EVMS enjoys $35 million boost in state support Graduates to carry on EVMSrsquo community-oriented mission lsquoTop Docsrsquo Grant comes just in time for surge in new HIV patients WHRO honors Otolaryngology Chair EVMS physician-scientist garners grant to study polio vaccines Friday the 13th Student group wins award Employers honored with BIB awards EVMS partners with JDRF Book reviews

34 Alumni Connections EVMS alum assumes command of USNS Comfortrsquos Medical Treatment Facility EVMS grad serves veterans in Washington

Following the family path to medicine Class notes

32 Your Support Capital Campaign draws strong support ahead of year-end finale

Compassion a driving force for Glennan Center benefactor 2012 EVMS Fund supports key needs across campus Local

family supports diabetes research

41 Your Health Helping you breathe easier

42 In Focus

magazine issue 51

President Harry T Lester

Provost and dean Richard V Homan MD

senior vice President amp chief of staff Claudia E Keenan

editors Vincent Rhodes Editor-in-Chief Director of Marketing amp Communications

Blair Barbieri account Executive

Linda Cobb Copy Editor

Doug gardner news Director

Daniel Shuman assistant Director of Marketing amp Communications

GraPhic desiGn John Comerford Joy Ellinor art Directors

Vickie Carper Tamara Potter Cammi Mosiman graphic Designers editoriaL Board Melissa Lang Director of alumni Relations

Connie McKenzie Director of Development

Marsha Jennings Director of Health Services Marketing

Justin Crutchfield natalie Semmler Office of Marketing amp Communications

Serena amerson Denise Cohan Megan Christopher ashley gentry Dena Liston Office of Development contriBUtors Jennifer Francis alison Johnson Lauren Keim Laura neff-Henderson alex Strauss Joy Vann

EVMS Magazine is published three times a year Copies are available on campus in doctorsrsquo offices and by mail To request a copy or share news please contact Doug gardner news Director 7574467070 or newsevmsedu

follow us FACEBook wwwfacebookcom EVMSedu

TWITTER wwwtwittercomEVMSedu

FlICkR wwwflickrcomevms

You TuBE wwwyoutubecomEasternVaMedSchool

RSS feedsfeedburnercomevms

4 EVMS MagazinE issue 51 wwwevmsedu

fromthePresident

In 1973 community leaders celebrated the establishment of EVMS

as an example of regional cooperation at its best Cities throughout

Southeastern Virginia supported the effort and backed it up with

municipal contributions Fast-forward nearly 40 years EVMS once again is the focus of a region-wide

discussion The issue now is whether EVMS should become the William amp Mary Health Sciences University

This is an exciting prospect but not something to venture into lightly The Boards at each school have agreed to entertain the question and we have begun our due diligence At this point we donrsquot know how long the evaluation process will take Any merger would need the approval of the legislature and the Governor Stay tuned

As we examine our institutional affiliations our faculty are busy with some key educational and clinical priorities

For instance one group of scientists and physicians are preparing our students for the workplace of tomorrow See why ultrasound may render the stethoscope obsolete (page 30)

Another group of faculty provide the type of indispensable care that our founders must have hoped for Go to page 16 to learn how EVMS trauma surgeons save lives daily in a cooperative venture with Sentara Healthcare

Finally we asked the staff at Norfolk restaurant Bardo Edibles + Elixirs to come up with some diabetes-friendly fare for the holidays Executive Chef Edward Storey worked with EVMS nutritionist Phyllis Woodson to develop the dishes starting on page 22 that you can prepare for yourself

You may have noticed a new look for our magazine with this issue What hasnrsquot changed is our commitment to sharing compelling stories and exciting news about our school of medicine and health professions I hope you enjoy both the content and the new design

As always thank you for your interest in and support of EVMS

Sincerely Harry T Lester

evMs Board of visitors

Anne B Shumadine Rector

P Ward Robinett Vice Rector

David A Arias IA Barot MD Frank Batten Jr Derwin P Gray MD

Eva Teig Hardy James J Izard II David T lawson Christina W Prillaman MD

Robin D Ray kenneth W Stolle Bruce l Thompson Mark R Warden

Theresa W Whibley MD Richard C Zoretic

evMs foUndation Board of trUstees

G Robert Aston Jr Chairman and President

Vincent J Mastracco Jr Esq Treasurer

Andrew S Fine Secretary

R Bruce Bradley lD Britt MD MPH Charles P Fletcher DDS The Honorable Paul D Fraim Thomas R Frantz Esq

Richard S Glasser Esq Robert C Goodman Jr Esq Edward l Hamm Jr Paul o Hirschbiel Jr B Thomas Mansbach

Charles W Moorman Priscilla Trinder Roady Thomas V Rueger Toy D Savage Jr Esq Alan l Wagner MD

Stanley Waranch Wayne F Wilbanks


vitalstats

The EVMS Jones Institute recently celebrated its 4000 IVF birth It takes a lot

of time energy and money to raise just one baby Imagine raising all 4000

$12 million spent onbaby food the first year


More than 2 million miles walked with babies in strollers mdash nearly five trips to the moon and back

$28 million spent onbaby items like toys and clothes in the first year

A total of 292 million diaper changes made by the age of 2

Some 488000 hours spent reading to newborns

56 million hours of lost sleep can be credited to those 4000 little bundles of joy

On average 13 million loads of laundry or 212 million articles of clothing washed per year

Considering the trend in popular names if you wrote out all 4000 names odds are that Emily Madison Hannah Jacob Michael and Joshua would dominate the list

On average it takes two minutes per diaper change for a total of three 40-hour work weeks for just one child Thatrsquos a total of 24000 40-hour work weeks for all of the babies

These fun facts were compiled from httpwwwhappyworkercomsupermomfacts and httpthestircafemomcombaby6339Babys_First_Year_Broken_Down

news+notes


President Lester named regionrsquos First Citizen

EVMS President Harry T Lester is the 2012 First Citizen of Hampton Roads

President Lester was honored June 21 at the annual awards ceremony sponsored by LEAD Hampton Roads a program of the Hampton Roads Chamber of Commerce

TowneBank President and EVMS Board of Trustees Chairman Robert Aston introduced Mr Lester depicting him as a humble leader with an incredible ability to inspire others to achieve great things

The bank Chairman and CEO praised Mr Lester for serving as a catalyst for positive change and forging collaborations and strong relationships across organizational and geographical boundaries

ldquoHis successful efforts to secure a strong financial footing for EVMS and

the Chrysler Museum in particular have made it possible for two of Hampton Roadsrsquo great institutions to both thrive and create innovative and sustainable initiatives for a bright

futurerdquo Mr Aston says Mr Lester began his affiliation with

EVMS in 2003 as a member of the Board of Visitors He became President in 2005

evMs and William amp Mary to explore possible merger The College of William amp Mary and Eastern Virginia

Medical School announced in July that they have agreed to exclusively explore the feasibility of having EVMS become the William amp Mary Health Sciences University Before a decision can be made by either WampM or EVMS each must carefully investigate the implications of such a combination

The Board of Visitors has directed that EVMS perform due diligence in this regard and it is not yet clear how long this process will take If WampM and EVMS decide to proceed

approval from the Governor and General Assembly will be required

President Harry T Lester says ldquoThe fact that one of the oldest most prestigious colleges in the country would consider affiliating with us speaks volumes about the groundbreaking work our faculty staff and students are achieving every day While we wonrsquot know for some time how this will work out I think this is a tremendous compliment and an opportunity worth exploringrdquo

Eastern Virginia Medical School President Harry T Lester in the Edward E Brickell Medical Sciences Library rotunda

FOLLOW OUR TWITTER FEED wwwtwittercomEVMSedu for news and links to everything EVMS

nneewws+s+notnoteess

Richard M Zweifler MD

Richard Zweifler appointed Chair of Neurology

Richard M Zweifler MD has been appointed Chair of Neurology effective August 1 Dr Zweifler succeeds Thomas R Pellegrino MD who held the post until his death in November 2011

ldquoDr Zweifler has an outstanding reputation and is well-respected by his peers and colleaguesrdquo says Provost and Dean Richard V Homan MD Dr Zweifler currently serves as Chief of Neurology for Sentara Healthcare and

has been a Professor of Neurology at EVMS since 2008

Dr Zweifler received his MD from Tulane Medical School and completed residency training in neurology and a fellowship in cerebrovascular disease at the University of California in San Diego He is board certified in neurology and vascular neurology and holds specialty certifications in neurosonology and neurosonology examination

He joined EVMS after serving as Professor and Director of the Stroke Center at the University of South Alabama He serves on the Editorial Board of Frontiers in Stroke and as reviewer for journals including Neurology Stroke and Headache

In addition to his membership in Alpha Omega Alpha the honor society for medicine Dr Zweifler has authored more than 80 book chapters manuscripts abstracts and peer-reviewed publications He has actively participated in 20 National Institutes of Health-funded research studies and received more than $3 million in external funding for research in stroke and cerebrovascular diseases

Anne B Shumadine

Board elects first female rector in schoolrsquos history

Anne B Shumadine has been elected Rector of the EVMS

Board of Visitors making her the first female to lead the board

in the institutionrsquos history She was selected for the position in June in a unanimous vote following

the resignation of Maurice A Jones Mr Jones resigned from the board due to his confirmation as Deputy Secretary of the US Department of Housing and Urban Development

ldquoThere are many great forward-looking leaders in our community from all genders races religions and backgrounds and I am confident I wonrsquot be the last lsquofirstrsquo for this institutionrdquo Mrs Shumadine says ldquoEVMS is progressive and enlightened and being rector is a privilege that I donrsquot take lightlyrdquo

Mrs Shumadine will help lead the medical school as it grows its student body and faculty to tackle a growing national shortage of doctors and


news+notes

changes mandated by federal and state health care reforms

ldquoWe must be nimble and ready to address those changes and prepare for the influx of new patients into our systemrdquo she says ldquoWith the great work that President Harry Lester has done over the past eight years and the experience and expertise that our new Dean Richard Homan brings to the campus we are poised to take EVMS to the next levelrdquo

The Board will be working with the Dean to re-think the curriculum to prepare a robust learning experience that incorporates the new way patients will experience health care she says

Mrs Shumadine is a graduate of Wellesley College and the Marshall-Wythe School of Law at the College of William amp Mary and is Chairman and a Founder of Signature Financial Services in Norfolk

She serves on the Board of the Chesapeake Bay Foundation and is a Trustee and Chair of the investment committee at Virginia Wesleyan College Mrs Shumadinersquos past associations include a former Rectorship on the Board of Visitors of Old Dominion University where she is currently a member of the ODU Educational Foundation She is also former President and Chairman of the Board of the ACCESS College Foundation a former Trustee of the Chrysler Museum of Art and a past member of the Business Leadership Council of Wellesley College

In 2011 Mrs Shumadine received the Citizen Lawyer award from the William amp Mary School of Law was the recipient of the Barron F Black Community Builder Award from the Hampton Roads Community Foundation and was recognized by LEAD Hampton Roads with its Visionary Award for business leaders

dr doncel chosen to lead conrad Gustavo F Doncel MD PhD formerly Scientific and Associate Director of

CONRAD has been chosen to lead the internationally known program at EVMS He began his new role as Executive Director Aug 1

Dr Doncel follows Henry L Gabelnick PhD one of the original CONRAD staff members and head of the organization for more than 20 years Dr Gabelnick is now a Senior Advisor to CONRAD CONRAD facilitates the development of products and methods to prevent conception and to halt the spread of sexually transmitted diseases in particular HIVAIDS

ldquoDr Doncel is an internationally renowned academic clinical scientist who has made major contributions to scientific research especially in the field of reproductive health and HIVAIDS preventionrdquo says Alfred Z Abuhamad MD Professor and Chair of Obstetrics and Gynecology CONRAD is a program of the EVMS Department of Obstetrics and Gynecology

Dr Doncel joined the EVMS Department of Obstetrics and Gynecology in 1990 With his pioneering work on microbicides mdash which protect women against sexually transmitted diseases mdash and sperm function inhibitors Dr Doncel laid the foundation for CONRADrsquos expansion into HIV and multipurpose prevention technologies

Dr Doncel is an accomplished researcher with skills that span basic and clinical science He is currently the principal and co-principal investigator of grants totaling more than $138 million

He is a reviewer for the US National Institutes of Health and the European Commission Directorate General for Research and Innovation and an expert advisor to the World Health Organization He is also a member of scientific advisory boards of several national and international research organizations Dr Doncel received the Deanrsquos Faculty Achievement Award from EVMS in 2009 and is the author of more than 100 peer-reviewed scientific publications and several US and international patents on antimicrobial contraceptives and microbicides

CONRAD was established in 1986 with federal funding from the US Agency for International Development Originally focused solely on contraceptive development CONRAD grew under Dr Gabelnickrsquos direction to include an emphasis on disease prevention

Dr Gabelnick also broadened support for CONRAD to include funds from private foundations All told CONRAD has attracted more than $400 million from public and private sources

Dr Gabelnick earned his undergraduate and masterrsquos degrees at the Massachusetts Institute of Technology and a PhD in chemical engineering at Princeton He spent 18 years with the National Institutes of Health before joining CONRAD

ldquoUnder Dr Gabelnickrsquos leadership CONRAD played a leading role in improving reproductive health for women around the globerdquo Dr Abuhamad says

Gustavo F Doncel MD PhD


news+notes

Student outreach heads to Haiti For EVMS students medicine is about so much

more than books and laboratories Itrsquos about making a difference in the lives of people in the community Every day students demonstrate that having a meaningful impact on the world is more than just a school mission mdash itrsquos a practiced belief at the very core of what makes EVMS unique In

Hampton Roads and beyond EVMS students are involved in outreach projects that strive to improve the health of a global community The 2012 trip to Haiti was one such important endeavor

EVMS students traveled to Haiti in March to provide medical care to one of the poorest countries in the

world They also delivered 15 water filtration systems capable of filtering more than 60000 gallons of dirty water mdash equivalent to the volume of 500000 water bottles These machines are a vital lifeline in a place where clean water is a luxury and where many people have died of cholera

ldquoIt was so much more stimulating in every way than I could have imaginedrdquo says Ryan Barnette MD

Class of 2013 ldquoI can say that being open to feel that to reflect on that raw emotion is a gift far more than anything I could ever have hoped to give the Haitian peoplerdquo

Mr Barnett and his fellow classmates spent time at an orphanage that is home to more than 200 children 140 of whom were displaced by the recent earthquake They also visited a hospital in Hinche and saw medicine at practice in a place with no access to running water

ldquoI was incredibly fortunate to be able to go to Haitirdquo says Tolga Sursal MD Class of 2015 ldquoIt was my first experience with international medicine and I was excited to finally live out some of the things I had only read about in booksrdquo

Get more information on this and other important student outreach projects by visiting wwwevmsedumagazine


Matt Balderston MD Class of 2013 enjoys time with a new friend during a medical mission earlier this year to the Maison Fortune orphanage in Hinche Haiti

James Coulter MD Class of 2013 prepares to examine a young patient at the orphanage

Terri W Babineau MD Director of Community Outreach for EVMS has helped to forge a bond with the Haitian orphanage EVMS students visit Haiti on a regular basis

news+notes

anthem Blue cross Blue shield teams with evMs to battle diabetes

EVMS is collaborating with the Anthem Blue Cross Blue Shield

Foundation in a project intended to reduce the prevalence of

diabetes in adults in Southeastern Virginia and to diminish the

numbers of deaths attributable to the disease

As part of a year-long $203000 Anthem Blue Cross Blue Shield grant the EVMS Strelitz Diabetes Center is working with patients and local physicians to lessen the impact of the disease The region has the highest mortality rate for diabetes in Virginia nearly twice the state average

ldquoHampton Roads is an epicenter in Virginia for obesity and the accompanying problems of diabetes and heart diseaserdquo says Joseph A Aloi MD Clinical Director of the Strelitz Diabetes Center and Program Director for the grant ldquoWe are grateful to the Anthem Foundation for recognizing the scope of the problem and for partnering with us to work toward a solutionrdquo

ldquoWe are pleased to be able to work with EVMS to target diabetes in Southeastern Virginiardquo says Jay Schukman MD Anthemrsquos Chief Medical Director ldquoBy identifying people at high risk for diabetes or helping catch this disease in an early stage we can help folks put plans in place to help combat it from developing furtherrdquo

With support from Anthem the Strelitz Diabetes Center co-hosts diabetes screenings at physician offices workplaces and community events across the region to locate people with an undiagnosed disease and those in the early stage of developing the disease a condition

known as pre-diabetes Dr Aloi says the goal is to perform 2000 screenings over the span of the one-year grant

Once people with the disease or those who are at-risk are identified Strelitz Diabetes Center specialists work with community physicians to develop follow-up care plans That may include medical therapy or assistance in adopting lifestyle changes such as halting smoking lowering blood pressure or losing weight

The project is unusual in that it also provides continuing medical education for community physicians and recruits peer counselors mdash patients who have successfully managed their diseases mdash to help others

WellPoint Inc and Anthem Inc merged in 2004 to form one of Americarsquos premier health care companies Anthem Blue Cross and Blue Shield has a history of strong support for EVMS The Anthem Professorship in Cancer Research supports the Leroy T Canoles Jr Cancer Research Center at EVMS The Anthem Blue Cross and Blue Shield Foundation a private nonshyprofit organization wholly funded by WellPoint Inc also has funded immunization initiatives through the Project Immunize Virginia program at EVMS


news+notes


New Student Orientation In August EVMS rolled out the

welcome mat to 284 new students during a busy orientation week This annual rite of passage for all incoming students kicked off with the Deanrsquos Breakfast There the students mixed and mingled with their new classmates and met with faculty and school leaders Students received their IDs class schedules and just about everything else theyrsquoll need for a successful tenure at EVMS Students attended workshops hosted by faculty and staff and learned about what the school has to offer Then it was off to the Presidentrsquos Picnic to indulge in some BBQ sweet tea and snow cones In addition to eating students and their families and friends could partake in a game of cornhole or strike a pose in the always-popular photo booth The week concluded with 145 MD students receiving their white coats during the traditional ceremony in front of faculty family and friends at Harrison Opera House

Faculty and guest speaker Daniel M Becker MD MPH Director of the Center for Biomedical Ethics and Humanities at the University of Virginia congratulate medical students during the White Coat ceremony Dr Becker delivered the annual H Lee Kanter Lecture

Friends from left Oluvoniyin Peters Barron Frasier Laura Tyrell and Mike Murphy enjoy the Presidentrsquos Picnic

Provost and Dean Richard V Homan MD visits with students at the Presidentrsquos Picnic on the lawn at Smith-Rogers Hall

Medical students Ibrahim Abubakar left and Branden Deyerele center talk with Master of Public Health student Brook Alemu on the first morning of orientation

VISIT wwwflickrcomphotosevms to view more photos from this and other EVMS events

EVMS enjoys $35 million boost in state support

The Virginia General Assembly once again has increased its annual allotment to EVMS to support the schoolrsquos educational mission

The latest boost came in the form of $35 million in additional funding for Fiscal Year 2013 EVMS receives $16 million of support for education as well as another $8 million in state money for indigent care family-practice funding medical modeling and simulation and financial aid for students

Historically EVMS has been considerably underfunded compared to the other medical schools in Virginia President Harry T Lester has worked diligently with state officials to build recognition for the schoolrsquos work and to make up the funding shortfall

ldquoGovernor McDonnell and the legislature appreciate the schoolrsquos importance to the health of the region and the staterdquo President Lester says ldquoWe are grateful for their continued supportrdquo

Much of the new funding will go toward adding faculty for a growing student class Following the opening last fall of a new education and research building the school is boosting enrollment to help prepare more physicians physician assistants and other health care professionals in the face of an expected nationwide shortage of health care workers


news+notes

Virginia Capitol Richmond Va

The additional state support also is helping EVMS hold the line on tuition

increases This yearrsquos increases were the lowest in

more than 20 years

Graduates to carry on evMsrsquo community-oriented mission

Doctors Without Borders US Board President Matthew C Spitzer MD reveled in the community-oriented environment and mission of EVMS as he spoke to graduates May 19 at the Norfolk Scope

ldquoSince I arrived yesterday I have felt like I am almost among comrades mdash allies in a certain strugglerdquo Dr Spitzer keynote speaker for commencement said to the 296 graduates and thousands of family and friends

Dr Spitzer encouraged the students to adopt the tenets of the founders of Doctors Without Borders to combine concrete medical action with individual conscience He spelled out the three concepts that help guide his organizationrsquos volunteers during their work mdash to be on the front lines to witness the need for care refusing to accept unacceptable situations involving patients and driving for innovation mdash illustrating each with a story from his travels and work around the world to assist the less fortunate

ldquoHumanitarian medicine or community-oriented health care is not something we should think of as charity care or where something is better than nothingrdquo he said ldquoInstead it should seek the highest standards and the best care possible whether very far away in a developing country or next doorrdquo

Commencement-related ceremonies began with what has quickly become a new EVMS tradition the White Coat Retirement Ceremony Medical students and friends returned to Windhaven Farm in Windsor to retire their short white coats in preparation for the long white coats worn by physicians

The festivities included the annual military commissioning ceremony aboard the USS Wisconsin in downtown Norfolk and the physician assistant programrsquos White Coat and Awards Ceremony There also were a series of banquets and receptions to honor graduates including a new ceremony this year to induct students and faculty into the Gold Humanism Honor Society

Newly commissioned Army Captain Josiah L Wrensford looks on as loved ones pin on his rank at the military commissioning ceremony on the Battleship Wisconsin

news+notes

Barry Strasnick MD


EVMS physicians are rsquoTop Docsrsquo

EVMS is well represented in this yearrsquos Top Docs list that appears in the September issue of Hampton Roads Magazine

The magazine honors some 250 EVMS full-time and community faculty physicians and alumni Thatrsquos more than half of the 440 doctors who were selected by peers to be part of the annual list The list includes 37 physicians who practice with EVMS Health Services

Go to evmsedumagazine for a complete list of the honorees

Grant comes just in time for surge in new HIV patients

EVMS has received critical longshyterm federal funding to care for uninsured HIV patients

The additional $900000 spread over three years will be used to care for HIV patients unable to afford their treatment says Edward C Oldfield MD Director of the EVMS Center for the Comprehensive Care of Immune Deficiency (C3ID) EVMS physicians see the majority of low-income HIV patients in Southeastern Virginia and the Eastern Shore

The money from the Ryan White HIVAIDS Program comes just in time While the number of C3ID Ryan White patients has mushroomed 250 percent since 2007 funding has grown just 12 percent And the volume of new patients continues to soar

C3ID instituted a series of cost-saving measures to stretch the limited federal funding reducing the annual cost of care per person (excluding medications) from $2319 to $1530

Whro honors otolaryngology chair with community impact award

Barry Strasnick MD Professor and Chair of Otolaryngology-Head and Neck Surgery was awarded the 2012 WHRO Community Impact Award in the area of Health and Public Safety

The category recognizes those whose efforts raise community awareness about safety issues and help protect the public or whose individual acts of heroism save lives Dr Strasnick was nominated for his work with the Coalition for Hearing Education and Research (CHEAR)

He also was recently named as a 2012 Best Doctor in Virginia Living Magazine and was listed among one of the ldquoTop Doctorsrdquo in Otolaryngology by US News and World Report

EVMS physician-scientist garners grant to study polio vaccines An EVMS infectious disease specialist is receiving research support

from a private foundation in her efforts to improve global health Stephanie B Troy MD is one of 16 physician-scientists selected to receive the 2012

Clinical Scientist Development Award from the Doris Duke Charitable Foundation Dr Troy will use the $484000 award to further her study of the possible risks of polio vaccines and methods to improve them

ldquoAlthough the current polio vaccines have succeeded in decreasing the number of global polio cases from 600000 per year to only 650 cases in 2011 they have limitations that might make global polio eradication difficultrdquo says Dr Troy who holds joint appointments in the Department of Internal Medicine and in the Department of Microbiology and Molecular Cell Biology

The grant will fund a clinical trial investigating whether an injection into the skin rather than the muscle will improve vaccine effectiveness and allow for a reduced dose of inactivated polio vaccine in HIV-infected adults The reduced dosage if effective would make the vaccine more affordable for developing countries Dr Troy says

Friday the 13th a typical day in the ER Bruce Lo MD Assistant Professor of Emergency Medicine at EVMS has debunked

the myth that people are more likely to end up in the ER on Friday the 13th Dr Lo published a study in the July edition of the American Journal of Emergency Medicine In the study Dr Lo compared emergency room visits at six different hospitals over a seven-year period and determined that average ER visits for Friday the 13th were not increased compared with the Friday before and after and the month before

Dr Lo also evaluated 13 different conditions and determined that only penetrating traumas were seen more often on Friday the 13th

news+notes

EVMS MagazinE issue 51 wwwevmsedu

Student group working with local seniors wins award

Beyond Clinic Walls a student-run community outreach program recently placed second and won a $2000 award from the Commonwealth Council on Aging as part of its annual Best Practices award competition

The Commonwealth Council on Aging advises the governor on issues affecting the nearly one million Virginians age 65 and older

Beyond Clinic Walls pairs EVMS student volunteers with older residents in the Norfolk area who face complex medical and social issues The students receive guidance and support from the Glennan Center for Geriatrics and Gerontology Clients are recruited from Senior Services of Southeastern Virginia the regionrsquos Area Agency on Aging

Beyond Clinic Walls was created by MD Class of 2013 students Daniel C Parker Melanie J Schriber and Sara W Siddiqui Each played a pivotal role in starting the program and then passed the torch to this yearrsquos student leaders Stephanie M Lape and Viann N Nguyen

Learn more about Beyond Clinic Walls by visiting wwwevmsedumagazine

EVMS partners with JDRF to tackle Type 1 diabetes

The EVMS Strelitz Diabetes Center is partnering with the Juvenile Diabetes Research Foundation (JDRF) on a pair of important grants that target Type 1 diabetes

The first a two-year $500000 grant will focus on the enzyme 12-lipoxygenase (12-LO) an important link in the development of Type 1 diabetes

Studies in mice show that when scientists delete the gene responsible for 12-LO mice who are predisposed to develop Type 1 diabetes remain free of the disease say co-investigators Jerry L Nadler MD and David Taylor-Fishwick PhD

Because deleting genes is not an option in humans the researchers will evaluate a series of potential new medications to block 12-LO activity The goal is to develop an oral medication that could serve as the basis for a similar approach in humans

In the second grant the EVMS scientists are taking part in a JDRF collaborative initiative known as nPOD-V (Network for Pancreatic Donors with Diabetes) that will investigate if a virus triggers the insulin-cell destruction that leads to Type 1 diabetes

The dual research projects could have profound implications Each year more than 13000 young people are diagnosed with Type 1 diabetes according to the US Centers for Disease Control and Prevention

Employers honored with Business Investment in Babies awards EVMS was among 17 employers in the region honored in August by the Consortium

for Infant and Child Health (CINCH) for their efforts to support breastfeeding mothers in the workplace CINCH a regional child health coalition sponsored by EVMS presented the Business Investment in Babies (BIB) Awards during a ceremony August 3 The school now has five ldquonursing nooksrdquo scattered around campus

BOOK REVIEWS

Alfred Z Abuhamad MD Professor and Chair of Obstetrics and Gynecology James C Lukban DO Professor of Obstetrics and Gynecology and Khaled Sakhel MD Assistant

Professor of Obstetrics and Gynecology recently wrote a book titled Practical Guide to Office Procedures in Gynecology and Urogynecology

ldquoThe book serves as an all encompassing manuscript of the office procedures performed by gynecologistsrdquo says Dr Sakel ldquoIt is the only book of its kind currently available on the marketrdquo

Unique in its focus on office-based procedures the book thoroughly covers the essentials of diagnostic and therapeutic procedures which are part of the office practice of the womenrsquos specialist

L D Britt MD MPH Henry Ford Professor and Brickhouse Chair of Surgery has published his third textbook Titled Acute Care Surgery the 64-chapter

book highlights topics such as cutting-edge surgical technology management paradigms trauma critical care and emergency general surgery It also provides guidance on evidence-based care for acutely ill surgical patients

Also Dr Britt recently was selected to serve as the lecturer for the Dr John J Krueger Annual Lectureship event in November in Virginia Beach In its 14th year the Krueger Lectureship is named in honor of a pathologist and leader in both the medical and lay communities Dr Krueger was a strong proponent of high-quality medicine and was involved in many charities

15


Members of the EVMS trauma team that provides lifesaving care for the entire region include (from left to right) Scott F Reed MD Jay N Collins MD Leonard J Weireter MD Timothy J Novosel MD Class of 2000 and LD Britt MD MPH

Your first line of defense


EVMS staffs the only level 1trauma center in the region Pink ripples of skin draw lines along Steve Joynerrsquos face from his sparkling blue eyes down cheek bones and to his chin His hands too have soft ridges of puckered skin the telling signs of a fiery blaze that nearly took his life

Around Christmas in 2011 Mr Joyner attempted to restart a fire using gasoline something he admits knowing could be dangerous A sudden reigniting engulfed him in flames

Mr Joyner suffered third-degree burns on nearly 50 percent of his body He fell in and out of consciousness as paramedics rushed him to the only place in Hampton Roads equipped to provide the care he needed mdash the Level 1 trauma center at Sentara Norfolk General Hospital (SNGH) which is staffed around the clock by EVMS surgeons

This is high-pressure rapid-fire medical care and these men and women are your first line of defense They take the hardest cases mdash the ones where life hangs in the balance the ones other hospitals arenrsquot equipped to handle

ldquoYou can take care of the majority of injuries in any emergency room but the trauma center exists for the 15 percent of the worst injuries out there because you have a finite period of time to do something positiverdquo says Leonard J Weireter MD Chief of the EVMS Division of Trauma the Arthur and Marie Kirk Chair and Professor of Surgery ldquoTo get the right patient to the right hospital in the right time frame thatrsquos why we are hererdquo

At its core trauma care is different because it is not a single specific condition or area of the body Trauma is the result of serious or critical injuries caused by incidents such as automobile crashes falls or acts of violence

Trauma is time sensitive If you donrsquot get the right treatment in the right amount of time your body will cross a line from which there is no turning back When emergency responders arrive no one knows where you are on that line or how long you may have That initial timeframe is called the ldquogolden hourrdquo mdash the small window of opportunity to perform the necessary life-saving interventions that give patients the chance to survive and thrive after traumatic injuries

The SNGHEVMS team is one of only five Level I trauma centers in the state and the only one serving the greater Hampton Roads region That recognition is awarded to hospitals that demonstrate their ability to provide the highest quality of care for all injured patients As a verified trauma center SNGH is staffed 24 hours a day 365 days a year by EVMS surgeons They handle cases from Williamsburg to the Outer Banks provide trauma care for the Navy and take all pediatric trauma cases for children of all ages


ldquoYou can take care of the majority of injuries in any emergency room but the trauma center

exists for the 15 percent of the worst injuries out there because you have a finite period of

time to do something positiverdquo

Leonard J Weireter MD Chief of the

EVMS Division of Trauma


The team has dedicated emergency-room space capable of handling mass casualties and round-the-clock access to laboratory and radiology services They have an operating room they can walk into immediately and subspecialties including orthopedic surgery neurosurgery plastic surgery and anesthesiology waiting for their call The Trauma Service also oversees a specific intensive care and burn unit for these patients This team plays a leading role in every aspect of a patientrsquos recovery

This is where the fight to beat the clock happens ldquoWe mobilize resources immediately as needed but thatrsquos what it

takes That is the institutional commitment this level of care requiresrdquo Dr Weireter says ldquoThis is an excellent working relationship between EVMS and Sentara They own the hard assets and we have a leadership responsibility to set the medical tone and bring the expertise of a medical school to the tablerdquo

The numbers tell the story According to the Virginia Department of Health one in every 350

people in Virginia will be affected by trauma each year Plus trauma is the leading cause of death for people ages 1 to 44

In 2011 Dr Weireterrsquos team saw 2668 trauma patients About 240 were burn victims like Mr Joyner The great majority however were victims of motor-vehicle crashes

Patients like 15-year-old Meaghan Gerety A slight girl with a pixie hair cut and a wide toothy smile Meaghan

is a teenager on the mend Bickering with her dad over typical girlshylikes-boy-that-parents-donrsquot scenarios is a welcome occurrence and a reminder of how far she has come in just one year

On June 16 2011 Sean and Tracey Gerety received the 4 am phone call every parent dreads Meaghan was involved in a car accident less than a mile from their home She suffered major head trauma and paramedics werenrsquot certain she would survive the transport to the hospital

The Geretyrsquos were told to prepare for the worst ldquoWe were trying to make sense of it all but they told us that she

would have the best chance of making it if they took her to Norfolk Generalrdquo Tracey Gerety says ldquoWe prayed the EVMS surgeons would be able to help herrdquo

At the trauma center doctors and nurses waited in a cleared trauma

bay Snapping into action when Meaghan arrived the team assessed vital signs and checked the extent of her skull fracture Within three minutes she was swept into surgery where a portion of her skull was removed to ease swelling on the right side of her brain Her injuries left Meaghan in a coma for 14 days in the ICU

The only thing that made Meaghanrsquos coma bearable her mother says was the trauma teamrsquos commitment to involving the family in their loved onersquos care They invite family members to participate in ICU rounds to listen to the discussion and to ask questions after doctors and residents are finished talking shop

ldquoWords cannot describe what a parent goes through to see your child there hooked up to machines everything just drains out of yourdquo Mrs Gerety says ldquoThe trauma team was so understanding and patient and always answered our questions There was just this sense that we are working together as a team to help my daughterrdquo

After less than a year Meaghan returned to school and started regaining a sense of normalcy in her life Itrsquos been a long road to

recovery but her family has remained focused on her future

Before his daughterrsquos accident Sean Gerety didnrsquot know about EVMS or the trauma center Today he considers himself one of their biggest fans ldquoIf it werenrsquot for EVMS my daughter wouldnrsquot be here itrsquos that simplerdquo he says

I n many ways the trauma team is made up of unsung heroes

Most people in the community donrsquot know what it means to have a Level 1

trauma center in their community until they or loved ones need its services says LD Britt MD Brickhouse Chair of Surgery Henry Ford Professor and a long-time member of the trauma team Even fewer understand the intricate role EVMS plays in making that center a reality in Hampton Roads

ldquoThere are places around the country where people who are critically ill or injured donrsquot have access to this level of care but fortunately we have it here in Hampton Roadsrdquo Dr Britt says ldquoPeople take it for granted Get injured though and you wonrsquot take it for grantedrdquo

When Dr Britt came to EVMS in 1986 the



trauma program was not fully developed He and other EVMS surgeons were on call every other night until the department built up a full-time faculty to serve as the surgical resource at the hospital says Dr Britt who was Chief of the Trauma Service prior to his appointment as Department Chair

Today five core surgeons make up the trauma team but the entire surgery department handles trauma calls and works with residents and fellows They also provide acute-care surgery services and have developed an accredited critical-care fellowship with a 100-percent exam pass rate

Having a medical school affiliated with the trauma center means patients are provided

access to the newest treatments and the brightest minds Dr Britt says ldquoYou donrsquot have one person you have a team of all these minds determining what is the best management for your care and that makes all the difference in the worldrdquo he says It certainly made all the difference to Mr Joyner Hersquos back at work and beginning to do many of the things he enjoyed before his accident

ldquoThe skills of the surgeons their encouragement and the support they gave me it all helped me get through thisrdquo Mr Joyner says ldquoI walked out of that hospital three months after my accident mdash thatrsquos a testament to just how phenomenal they arerdquo

See Steve Joynerrsquos story at

wwwevmseduMyStory

Hear more about Meaghanrsquos story at

wwwevmseduMyStory

king


A (Diabetes-Friendly)feast fit

for a

for a


executive Chef Edward Storey has worked at Bardo Edibles + Elixers for the past four years and as a chef for many years before He

confesses that dining out can be difficult for someone trying to watch his or her diet But Chef Storey was willing to stray from his usual fare in the name of eating healthy Growing up in Georgia he indulged in his fair share of down-home southern cooking However after his father suffered several heart attacks and his mother learned she has celiac disease he learned the importance of a proper diet

king Watch Chef Edward Storey prepare this dish and check out the recipe online at EVMSedumagazine

2424 EEVMVMSS MMagagaazziinnEE iissssuue 5e 511 wwwwwweevvmmsseedduu

Shrimp with spinach


eating healthy doesnrsquot mean suffering through a dull diet Living with diabetes or not we dare you not to relish in the explosion of flavor packed into each bite Take this mouth-watering entree for example mdash sauteacuteed shrimp with spinach red peppers and pine nuts

over a country ham grit cake mdash that first envelops you in a scent of nutty fresh seafood By calling on his southern roots when pairing this ham grit cake with the shrimp Bardo Edibles + Elixirs Executive Chef Edward Storey creates an unconventional holiday dish that is still sure to be a crowd-pleaser

To make this entree healthier while still keeping all of the flavors Chef

Storey uses olive oil in lieu of butter substitutes two of the four eggs with egg whites uses low fat cheese and whipping cream instead of heavy cream Dietician Phyllis Woodson of EVMS Strelitz Diabetes Center says reducing sugar fat and salt or sodium intake is good for everyone since these nutrients in excess can increase your health risks

Find this recipe and more tips for eating healthier online at EVMSedumagazine

Carrot casserole

plated to perfection Chef Storeyrsquos carrot casserole bursts not only with color but also flavor The simplicity of this recipe makes it a snap to prepare at home and a few extra bright

orange carrots grated on top go a long way to make this plate as visually appealing as it tastes

Ms Woodson suggests limiting starches when choosing a side dish so Chef Storey turned to a recipe thatrsquos been featured on the menus everywhere hersquos worked his grandmotherrsquos carrot casserole recipe But by using the low fat versions of cheese and mayonnaise he was able to make a wholesome side dish and make his vegan grandmother proud at the same time he says

Like what you see Visit evmsedumagazine for this recipe and more Plus check out our expert tips for making your favorite meals healthier


Carrot casserole

EEVMVMSS MMagagaazziinnEE iissssuue 5e 511 wwwwwweevvmmsseedduu 2727


Mocha meringue kisses

EVMS MagazinE issue 51 wwwevmsedu 29EVMS MagazinE issue 51 wwwevmsedu 29

who says you canrsquot have your cake and eat it too So long as its prepared like Chef Storeyrsquos delicate mocha

meringue kisses you can He uses egg whites and a sugar substitute so that these bite-sized beauties still satisfy any

chocolate loverrsquos craving but without all the guilt of indulging in the typical high fathigh calorie dessert Adding a dollop of fat free whipped cream is the perfect accompaniment

Since most people tend to overindulge when theyrsquore eating out Ms

Woodson suggests skipping the appetizer splitting the entree with someone or taking half of it home Avoid dessert she says or share it among several people She also recommends limiting the alcoholic beverages

But wait therersquos more online To try all of these recipes in your own kitchen visit evmsedumagazine Yoursquoll also find Chef Storey preparing a bonus dish mdash almond broccoli sauteacute and the recipe for his turkey casserole Plus Ms Woodson has some more tips for healthy eating You donrsquot want to miss this exclusive online content

Wait therersquos more Head over to evmsedumagazine for the recipes of the meal featured here plus two bonus dishes Turkey Casserole and Almond Broccoli Sauteacute Watch as Chef Storey prepares the savory broccoli side and read more tips from Ms Woodson for preparing healthy meals


Is the stethoscope about to become extinct


Is the stethoscope about to become extinct Medical ULTRASOUND

comes of age

A national leader in the effort to expand the use of medical ultrasound

Alfred Z Abuhamad MD compares a full-size ultrasound machine with a

hand-held unit

At 54 years old Pete thought he was in the best shape of

his life But a sudden pain down his left arm and shortness

of breath forced him to dial 911 Within five minutes a

paramedic was using a handheld ultrasound to get a

closer look at Petersquos heart

That iconic image of a doctor with a stethoscope may soon become a distant memory as more and more ultrasound

becomes the go-to technology of choice for health professionals around the globe Seventy years after

an Austrian doctor first used it as a diagnostic tool ultrasound is finally coming of age

Touted as the ldquostethoscope of the futurerdquo for its ability to provide real-time diagnostic

information ultrasoundrsquos increasing portability and affordability are making it more practical and

feasible than ever The American Medical Association (AMA) has even acknowledged the trend recently affirming

for the first time that ldquoultrasound imaging is a safe effective and efficient tool when utilized by or under the direction of appropriately trained physiciansrdquo

Multiple Applications


Alfred Z Abuhamad MD Professor and Chair of Obstetrics and Gynecology (Mason C Andrews Chair) and a long-time ultrasound pioneer says the AMA resolution is a major step forward for a technology whose potential is only now being realized

ldquoUltrasound has some important advantages over other imaging toolsrdquo says Dr Abuhamad who also is national president of the American Institute of Ultrasound in Medicine a sponsor of the AMA resolution ldquoFrom a safety perspective ultrasound uses no ionizing radiation so it is safer From a cost perspective it is less expensive than MRI (magnetic resonance imaging) or CT (computed tomography) And from a clinical perspective it is at least as effective as other imaging modalities in many casesrdquo Dr Abuhamad is helping lead the charge to encourage practitioners and payers to consider ultrasound before other diagnostic tools in appropriate situations ldquoThere are gaps in knowledge of ultrasound on the health-care teamrdquo he says ldquoAs a society we are trying to fill those gaps and help the medical community understand the many situations in which using ultrasound first may be of valuerdquo

A Brief History The roots of ultrasound technology can be traced to ancient

Greece where Pythagoras developed a ldquosonometerrdquo for measuring musical sounds

By World War I the French were building a device capable of detecting submerged enemy submarines the precursor to modern sonar But it was not until the 1940s that Austrian neurologist Karl Dussik became the first physician to use super-fast sound waves in medical diagnosis

ldquoI would say that we are still in the infancy of introducing the widespread use of ultrasound in clinical practicerdquo says Barry J Knapp MD Associate Professor and Emergency Ultrasound Fellowship Director ldquoUntil recently the scope and focus have been very narrow But in the hands of more physicians ultrasound is going to be an even more powerful toolrdquo

Most people realize that ultrasound can be used to get a better look at the heart and babies in the womb But EVMS Critical Care Specialist and Professor of Internal Medicine Alexander B Levitov MD says few understand the true scope of ultrasoundrsquos potential

ldquoUltrasound technology is virtually omnipotent in that it can be used for every disease process with the exception of a few

psychological disordersrdquo says Dr Levitov who has written two books on the subject Dr Levitov says ultrasoundrsquos versatility

safety portability and affordability have helped bring it to such remote locales as the Mt Everest base camp the battlefields of the Middle East and the space station As units become even more portable and cost-effective ultrasound is also becoming ubiquitous in hospitals clinics and even at patient bedsides

ldquoUltrasound is truly changing the paradigm of how we diagnose and treat patientsrdquo Dr Knapp says In partnership with ultrasound manufacturer SonoSite he is leading a major study on the value of ultrasound in the hands of emergency medical service (EMS) providers Through this study close to 90 EMS providers within the city of Norfolk can obtain and transmit vital ultrasound data in cases of cardiac arrest or major trauma

ldquoUltrasound machines have traditionally sat in the radiology suite or in the OBGYN departmentrdquo Dr Knapp says ldquoBut it is clear to us in emergency medicine that having more information on the clinical status of patients before they even reach the emergency department could be a huge benefit not only to EMS providers but also to emergency physiciansrdquo

Seconds count during a medical emergency Emergency physician Barry Knapp MD is studying how the use of portable ultrasound equipment during transport to the hospital impacts patient outcomes Here he demonstrates use of ultrasound in an ambulance


In t he emergency department u ltrasound can be used to diagnose bleeding in internal organs in trauma victims as well as check the status of vital organs like the heart and aorta Itrsquos also valuable in diagnosing problems in numerous other areas of the body such as in the eyes muscles and bones Ultrasound is used to provide real-time guidance in placing a central line or performing needle biopsy and can even perform functions sometimes thought to be the sole domain of radiation-based imaging systems such as identifying broken bones This can be especially valuable in poor or remote areas and for pediatric patients for whom exposure to ionizing radiation can increase the risk of leukemia and lymphoma later in life

A Bright FutureEVMS is taking a leadership role in advancing the everyday use of the technology That effort includes building ultrasound into the schoolrsquos curricula Students are learning its value early in medical school by using advanced new equipment mdash including 30 units approximately the footprint of a smart-phone mdash

provided through a grant from GE Their experience with the devices both during medical school and later in clinical practice will become the subject of a research study in collaboration with GE ldquoWe are one of the first adopters of what is going to become a trend in medical educationrdquo Dr Abuhamad says ldquoOur hope is that these students will think about ultrasound when they need an imaging technology in clinical practice They will understand its benefits and limitations and will know how to order it appropriatelyrdquo And that knowledge will come just in time Although all three doctors acknowledge that widespread acceptance of ultrasound will depend in part on changes in insurance reimbursement Dr Knapp predicts a bright future for the technology

ldquoI would not be surprised if in 20 or 30 years there is an ultrasound machine

in every physicianrsquos officerdquo

First-year medical students use handheld ultrasound units to practice finding toys embedded in gel designed to mimic human tissue


alumniConnections

EVMS alum assumes command of USNS Comfortrsquos Medical Treatment Facility

Navy Capt kevin J knoop MD a 1985 graduate of EVMS assumed

command of the Military Sealift Command hospital ship uSNS

Comfortrsquos Medical Treatment Facility in May

He was most recently deployed as a force surgeon from III Marine Expeditionary Force in Okinawa Japan

The Comfortrsquos primary mission is to serve as a floating mobile acute-surgical medical facility for the US military along with a secondary mission to provide hospital services for disaster relief and humanitarian operations worldwide The 1000-bed 10-operating room hospital has a helicopter pad two helicopters and two waterborne ambulances and is staffed by 900 military and civilian health care

professionals In recent deployments in the Caribbean and Latin America more than 68000 patients weretreated and 1100 medical procedures took place

in the shipboard operating

room After

assuming command

and reflecting on how his studies at EVMS influenced his career Capt Knoop recalled the schoolrsquos unique approach to patient

care and the leadership opportunities he was afforded

ldquoThe humanistic approach to patient care that I experienced at EVMS has stayed with me throughout my career and taught me to always put the patient first EVMS was ahead of its time in emphasizing patient-centered care when other schools seemed more focused on improving their studentsrsquo gradesrdquo he says

At EVMS Capt Knoop was vice president of his class for all three years (the MD program was only three years in duration at the time) and served as interim president for the schoolrsquos first four-year class

ldquoI also got my first real exposure to leadership positions at EVMSrdquo he says ldquoI got to experience the value and responsibility of positions of responsibility which helped in my Navy career as wellrdquo

Kevin J Knoop MD Class of 1985 and his wife Mary Jo Chandler MPA Class of 2008 celebrate Capt Knoops new command of the US Navy hospital ship Comfort Above right Capt Knoop takes part in the change-of-command ceremony

LIKE OUR FACEBOOK PAGE wwwfacebookcomEVMSedu for news and links to everything EVMS

alumniConnections

EVMS grad serves veterans in Washington Since graduating from EVMS in 1981 Mary Maniscalco-

Theberge MD has traveled the world as a united States Army

Medical Corps surgeon attaining the rank of colonel She was

the first female chief of surgery at Walter Reed Army Medical

Center She now serves as the Deputy Medical Inspector for

Professional Services office of the Medical Inspector for the

Veterans Health Administration

In spite of her achievements Dr Maniscalco-Theberge or Dr Mary as she is widely known remains down-to-earth laughing when asked about her remarkable success

ldquoIf you had told me 30 years ago this is where Irsquod be today I would have said lsquoHuhrsquordquo she says

She attributes much of her success to EVMS which she chose because of the care that professors and administrators showed to students

ldquoIrsquom forever grateful for the opportunity to have started my career at EVMSrdquo she says ldquoIt is such a community-based school It was not just an academic endeavor it was a community endeavorrdquo

Dr Maniscalco-Theberge fondly recalls a trip to the mountains taken by many students in which the upperclassmen were there to help and nurture her class

ldquoIt really was a family environmenthellip we were doing this all togetherrdquo she says ldquoYou heard stories about med schools being cut-throat with students sabotaging one another but EVMS was not at all like that It was about working together to be the best most compassionate physicians possiblerdquo

She also was impressed by the diversity of EVMSrsquo student population and noted that there was ldquoa unique broad spectrum of peoplerdquo in their late 20s and 30s

ldquoThat was very enlightening to see how people make life choicesrdquo she says ldquoI was very traditional going to high school college and med school That wasnrsquot the path that a large portion of the class took They had evaluated life and made the choice to go into medicine with experience behind themrdquo

Now with more than 30 years of experience Dr Maniscalco-Theberge looks back to EVMSrsquo commitment to community as she works to aid veterans

ldquoThe whole concept of community

of you as part of the greater whole is something much instilled at EVMS Itrsquos not about you itrsquos about things much bigger than you playing your part and making contributionsrdquo

As a deputy medical inspector she is part of a team that investigates cases regarding quality-of-care issues that may ultimately affect changes across the whole of the Veterans Health Administration

ldquoWhen somethingrsquos happened wersquore a reactionary force We get cases in a number of ways from veterans staffer calls news events congressional inquiries If they say lsquoWashington is investigatingrsquo thatrsquos who we are We really are from Washington and wersquore here to helprdquo she says

Her colleagues include physicians and nurses who form a team of clinical and administrative professionals with more than 100 years of combined investigational experience They work with other entities including the Department of Defense and civilian institutions to raise standards of health care

Her day-to-day routine is anything but One day may involve gathering information reviewing records and reading news stories Another may involve traveling to a site followed by intensive interviews compliance inspections and facility evaluations Team meetings compare impressions and prepare recommendations Reports are written vetted by different offices and sent to facilities to develop response plans

ldquoThis is not your fatherrsquos VA Itrsquos a very different thing from when I was in medical school Wersquore making great efforts to standardize care around the country to deliver the highest quality of care wherever veterans are Wersquore part of the system to make sure that happens Itrsquos a very exciting place to berdquo she says ldquoItrsquos truly an honor and privilege to take care of American veterans They are truly special peoplerdquo

Dr Maniscalco-Theberge is also an attending general surgeon at the Walter Reed National Military Medical Center She is in the operating room one day a week principally performing breast surgeries

She says ldquoItrsquos helpful with my job because when I do medical inspections people ask lsquoDo you still operatersquo and I dordquo

Mary Maniscalco-Theberge MD receives an award from the American College of Surgeons in recognition of her dedication to surgical education and patient care



alumniconnections

following the family path to medicine Running parallel to EVMSrsquo mission to

be the most community-oriented medical school in the nation is the commitment to train physicians and medical professionals who will practice in this community

Nowhere is that more evident than in ldquolegacyrdquo families consisting of EVMS alumni who raise children who follow in their footsteps Two current EVMS families are particularly emblematic of the notion to serve this community

State Senator Ralph S Northam MD is an EVMS graduate (1984)

and an assistant professor of pediatrics and a pediatric neurologist at Childrenrsquos Hospital of The Kingrsquos Daughters His son Wes is a third-year medical student at EVMS

The father and son share a commitment to being involved in the community Dr Northam says ldquoWe stressed to them mdash and tried to lead by example mdash that in addition to doing your job on a day-to-day basis it is important to help others who need helprdquo

Growing up as the child of a physician Wes was well acquainted with the challenges and sacrifices the profession requires

ldquoYou realize early on what a significant time commitment it is and how it affects your family You canrsquot always be there for family eventsrdquo Wes says ldquoItrsquos pretty amazing what they do and you have an appreciation for the

work that they do You hear interesting and inspiring stories of medicine Itrsquos like osmosis You canrsquot help but be interested [in medicine] growing up in that kind of familyrdquo

Another family with close ties to EVMS is the Whibleys Theresa W Whibley MD is an EVMS graduate assistant professor of obstetrics and gynecology and member of the EVMS Board of Visitors and Norfolk City Council Her son Josh Whibley is in the EVMS Physician Assistant Program Both entered EVMS after successful careers outside of medicine

Dr Whibley who graduated in 1982 says she was attracted to EVMS in part because the school embraced nontraditional students She was a teacher and reading specialist before she decided to pursue her interest in medicine

Josh studied business and hospitality management in college He worked at a series of resorts before deciding that he wanted to pursue medicine EVMS was a perfect fit for him as well

Josh says that watching his mother interact with patients inspired him

ldquoI have a lot of memories of going around town and my mom would meet a patient or somebody she delivered They were always so thankful and happy to see her You could really tell there was a bond between my mom and her patients ldquoShe made an impact on a lot of peoplersquos lives and thatrsquos pretty amazingrdquo

classnotes Maureen D Mayes MD Class of 1976 has joined the Medical Advisory Board of the Raynaudrsquos Association Now a Professor of Medicine at the University of Texas Health Science Center at Houston Medical School Dr Mayes directs the Scleroderma Clinic and Research Program at UTHealth and is a leading authority on Raynaudrsquos disease

Jennifer Reason MD EVMS ObGyn Residency Class of 2012 has joined her father John Reason in practice at Riverside Shore OBGYN Associates in Nassawadox on the Eastern Shore of Virginia

Jeffrey Wilson MD Class of 1997 recently published his second novel The Donors a story that according to the publisher ldquofuses elements of horror medical suspense and the supernaturalrdquo Dr Wilson draws on his experiences as a trauma and combat surgeon during two tours of duty in Iraq He and his wife Wendy live with children Emma Jack and Connor in Southwest Florida where he is now at work on his next novel

Looking back

Recognize this blues-crooning duo (photographed for an EVMS alumni yearbook) Send us your guess at newsevmsedu Wersquoll pick from among the correct responses and send the winner an EVMS prize pack

Send your class notes and news to Alumnievmsedu

yoursupport

Capital Campaign draws strong support ahead of year-end finale

With just over two months left before its conclusion the EVMS 20 Twenty Capital

Campaign continues to gain support from Hampton Roads and beyond The campaign stretched to more than $26 million over the

summer and the vision for EVMSrsquo future has proven to be a strong lure for people and organizations that want to ensure a healthy community Recently The Mary Morton Parsons Foundation issued a two-to-one challenge grant to the school and Newport News Shipbuilding committed $250000 to the campaign

ldquoGifts such as these demonstrate that those who care about this community understand how important EVMS is to our futurerdquo says Connie L McKenzie Director of Development ldquoWersquore thrilled to receive such strong support from organizations known for effecting positive change for this region and the staterdquo

The Mary Morton Parsons Foundation known for issuing challenge grants for causes important to the greater-Richmond area will contribute $200000 if EVMS raises an additional $400000 toward the construction of the Education and Research Building and renovations to Lewis Hall the Edward E Brickell Medical Sciences Library and the Strelitz Diabetes Center by May 2013

ldquoEVMSrsquo work benefits communities throughout the Commonwealth and they are a key part of the solution to the shortage of health care providers that will affect us all The schoolrsquos far-reaching impact in Virginia made our decision to support their growth an easy onerdquo says foundation Executive Director Amy P Nisenson

The contribution from Newport News Shipbuilding (NNS) will go toward the cost of constructing the new building and to the EVMS Fund Wayne F Wilbanks Co-Chairman of the Capital Campaign says the companyrsquos gift is a testament to the medical schoolrsquos impact on the regional economy with some job losses expected in the military-industrial complex NNS is supporting a sector that is expected to help fill that economic gap

ldquoEVMS is delighted with the investment that Newport News Shipbuilding has made in the medical school It represents a milestone gift toward the future of the schoolrdquo Mr Wilbanks says ldquoIt is especially important since they are reinvesting in the community in a high-growth area such as health care Given the future reduction of military spending in the area EVMS is becoming a much more important growth engine to Hampton Roadsrdquo

Launched in January 2010 the 20 Twenty Capital Campaign supports initiatives critical to both EVMS and the community it serves The drive seeks to generate funding for construction and renovation projects for increased scholarship gifts and endowments for the deepening of EVMSrsquo diabetes and cancer programs The campaign concludes in December 2012

To support Hampton Roads health care and make a gift to the Capital Campaign use the special envelope included in this magazine or go online to wwwevmsfoundationcom


yoursupport


compassion a driving force for Glennan center benefactor Virginia Glennan Ferguson has seen much in her 96 years The Norfolk native spent

childhood summers bronzing at the oceanfront in then-rural Virginia Beach She lived

through the Great Depression attended finishing school in Boston and resided for a

time in Maui But the experience that left some of the deepest marks on her heart

mdash and stirred her to action mdash was the 4000 hours she spent volunteering in the

emergency room at Virginia Beach General Hospital during the rsquo60s and rsquo70s

Virginia Glennan Ferguson

ldquoI loved every minute of itrdquo she says

Since this was before the days of emergency rooms being staffed almost exclusively by medical personnel she helped prepare patients and instruments for the doctors as well as handled administrative tasks She witnessed immense compassion and heart-felt care but Mrs Ferguson also

noticed a disturbing trend Particularly around the holidays people would sometimes leave elderly relatives at the ER when they felt burdened by the older personrsquos medical needs Patients also would come in from nursing homes with bedsores or other signs that their care was lacking Mrs Ferguson was particularly close with her grandparents and she says seeing family members treated that way broke her heart

ldquoI looked at all these people and I kept thinking lsquoThey were somebody Somebody loved themrsquordquo she says ldquoAnd now theyrsquore just flotsam and jetsam and nobody caresrdquo

Those experiences were seared into her memory and years later they fueled action

In the mid-1990s Mrs Ferguson was looking for a way to honor the legacies of her father Edward Keville Glennan and

her grandfather Michael Glennan The men were scions of the local news industry Michael Glennan worked for The Virginian mdash forerunner of the The Virginian-Pilot mdash before buying it in the 1870s and Keville Glennan was editor of The Virginian-Pilot and The Ledger-Dispatch

Mrs Fergusonrsquos father Edward Keville Glennan carried on the family newspaper tradition by serving as editor of The Virginian-Pilot and The Ledger-Dispatch

Mrs Ferguson had just concluded her sponsorship of a series of journalism lectures held in the menrsquos honor when a

yoursupport


new opportunity arose at EVMS Friends of hers at the school mdash including then-faculty physicians John Franklin MD and Robert Payne MD mdash convinced Mrs Ferguson that she could help prevent what she saw in the ER by supporting a program at EVMS focused on the unique needs of older patients And in 1995 Mrs Ferguson donated $2 million to establish the Glennan Center for Geriatrics and Gerontology at EVMS

The center has kept the school at the forefront of elder care All EVMS medical students complete geriatric-medicine rotations The center hosts an accredited geriatric-medicine fellowship and leads research into age-related conditions EVMS also has a combined internal medicinegeriatric medicine residency program that prepares physicians-in-training to care for an aging population

Such a return on her investment gives Mrs Ferguson reason to smile

ldquoThe Glennan Center has been a successrdquo Mrs Ferguson says ldquoIrsquom proud of what itrsquos doing for older people mdash theyrsquore the ones who touch my heartrdquo

2012 EVMS Fund supports key needs across campus

Scholarships faculty recruitment curriculum development and simulation programs were among the key initiatives to benefit from the 2012 EVMS Fund

The yearly fund-raising drive provides support for important areas throughout the school and emerging needs throughout the year For the fiscal year that ended June 30 it raised $1154000

ldquoThe EVMS Fund is a very important piece of the schoolrsquos yearly budgetrdquo said Denise Milisitz Director of Annual Giving ldquoIt gives leadership particularly the provost the flexibility to capitalize on new opportunities and needs that arise though the fiscal year Support for the EVMS Fund really allows us to be a progressive organizationrdquo Important areas supported by the 2012 fund included n $200000 in Deanrsquos Scholarship Alliance for Diversity

Scholarship support that provides $40000 for graduates of Historically Black Universities and Colleges

n Relocation to campus of the Art Therapy programrsquos studio and the offices of the Ophthalmic Technology program

n New faculty in the School of Health Professions and the Department of Physiological Sciences

n Funding to create a comprehensive medical ultrasound curriculum and to enhance educational components in pharmacology and physiology

n Expanded the number of small groups to meet growing class size

n New equipment in our research labs Michael Glennan Mrs Fergusonrsquos grandfather owned The Norfolk Virginian prior to its merger with another local paper The Pilot He served as Vice President of the new organization The Virginian-Pilot Publishing Company

yoursupport


Local family pledges $1 Million to diabetes research

Norfolk resident Richard M

Waitzer and his sons have

made a $1 million pledge to

Eastern Virginia Medical School

to support diabetes research

in honor of Mr Waitzerrsquos late

father

Murray Waitzer

The gift from Mr Waitzer and his family mdash wife Leah W Waitzer and sons Edwin S Waitzer Bradley J Waitzer and Scott D Waitzer mdash will establish the Murray H Waitzer Endowed Chair for Diabetes Research Murray Waitzer had to take daily insulin doses throughout his life to control his Type 1 diabetes

ldquoI have been very impressed by the people at EVMS and I know the work theyrsquore doing is so worthwhilerdquo says Richard Waitzer whose grandfather and older brother also had diabetes ldquoI hope this gift will lead to further understanding of this disease and hopefully someday a curerdquo

Murray Waitzer was born in New York to poor Russian immigrants but was a talented energetic entrepreneur who went on to found two wholesale drug companies the first in Washington DC and a second Murray Wholesale Drug Corp in Norfolk He raised three children and loved spending time with them as well as his grandchildren says Richard Waitzer who was his youngest child

Murray Waitzer died at 71 in 1971 of heart failure that may have been linked to diabetes The disease also damaged his eyesight

ldquoMy dad would do anything for his familyrdquo Richard Waitzer remembers ldquoHe just spent a lot of time with me and then later with my boys He was at every one of their games cheering them on He loved watching sports fishing and traveling mdash he really enjoyed life He was a great man and itrsquos an honor for my family to give this gift in his namerdquo

Richard Waitzer 79 graduated with a physics degree from Carnegie Mellon University in Pittsburgh Pa and worked in the wholesale drug business for more than 20 years before establishing a private real estate development firm in 1966 He now is President of MampR Realty Corp and Vice President of Signature Management Corp the former a development company and the latter its management arm Both are headquartered in Virginia Beach and specialize in commercial and multi-family real estate Mr Waitzerrsquos three sons work with him and also develop properties for their own accounts

In addition Mr Waitzer is a patron of local arts who serves on the boards of the Virginia Symphony the Virginia Symphony Foundation and the Chrysler Museum of Art


toyourhealth

HHeellppiing yng yoou bu brreeaatthhe ee eaassiieerr

EEVVMMS PS Puullmmoonnaarry ay annd Cd Crriittiiccaal Cl Caarre Me Medediicciinne pe phhyyssiicciiaanns ds diiaaggnnoosse ae anndd

mmaannaagge pe puullmmoonnaarry (y (lluunngg) p) prroobblleemmss T Thheey uy usse pe paattiieennt ht hiissttoorryy p phhyyssiiccaall

eexxamamininaatitioonn an andd t teesstintingg s suucchh a ass p pululmmoonnararyy f fuunncctitioonn t too in invveesstitigagattee

ppuullmmoonnaarry dy diisseeaassee c crriittiiccaal il illllnneesss as annd sd slleeeep dp diissoorrddeerrss

Whatrsquos involved in a pulmonary function test The test measures how well the lungs take in and release air

and how well they move gases such as oxygen from the atmosphere into the bodyrsquos circulation During the testing a trained respiratory therapist will ask you to breathe into an instrument called a spirometer

Why would I need to have this test done A pulmonary function test is helpful to diagnose lung problems such as asthma emphysema or bronchitis and to

help find the cause of unexplained shortness of breath or chronic cough The test can help your physician evaluate your fitness for surgery assess the effects of prescription medications and measure progress in disease treatment

Do I need a referral Yes

How long does it take The test takes about 1 hour and 15 minutes

Why should I have the test done at EVMS The EVMS pulmonary function test lab is conveniently located in Williams Hall near other physician offices and close to Sentara Norfolk General Hospital It is close to an HRT bus stop and the light rail station We work to schedule your test as quickly as possible at a time convenient to you

What happens once the test is done EVMS pulmonary physicians interpret your test results and

send a report to your doctors with recommendation about further testing or treatment You can also request a copy of your results

For more information call 7574468920

1

2

6

5


inFocus

Photos of MD Alumni Reunion

Homearama new medical residents

environmental safety presentation

CINCH breastfeeding awards ceremony

and Remote Area Medical clinic

VISIT wwwflickrcomphotosevms to view more photos from these and other EVMS events

inFocus

3 4

7

1 Courtney Kerr left Director of Environmental Health and Safety and President of the national Campus Safety Health and Environmental Management Association (CSHEMA) presents former Provost and Dean Gerald J Pepe PhD with the CSHEMA ldquoCampus Leaders Who Care award for his support of environmental stewardship and health and safety issues

2 CINCH the Consortium for Infant and Child Health recently honored 17 organizations for their support of breastfeeding mothers Among the recipients was the Navy and Marince Corps Intelligence Center represented by Commanding Officer Capt William Kotheimer With him at left is CW Gowen MD Interim Chair of Pediatrics and EVMS Provost and Dean Richard V Homan MD EVMS is the lead organzation for CINCH

3 Graduates and spouses from the Class of 1977 pose for a photo at the MD Alumni reunion

4 Former classmates Jean Massie left and Betty Bibbins catch up at the MD Alumni reunion in August They joined a number of fellow graduates from the Class of 1982

8 5 A new crop of residents arrived at EVMS in July Among the new physician-in-training are residents at Portsmouth Family Practice From left are EVMS graduates Jessica Bernens MD and David Deeley MD along with Megan Germscheid DO William Mollenkopf MD Jessica Andrews MD and Elizabeth Cochran-Ward MBBS

6 The EVMS Healthy House is one of eight homes on display at the fall 2012 Homearama at East Beach in Norfolk The event runs Oct 13-28

7 Team EVMS was on hand again this year at the Remote Area Medical (RAM) Clinic in Southwest Virginia one of the nationrsquos largest free clinics The EVMS volunteers -- including faculty students and staff working in diabetes and ophthalmology -- saw hundreds of patients during the weekend event in July

8 Richard Griffey MD Class of 1997 and his wife Julia enjoy a look through an old yearbook during the MD alumni reunion


- -

PO Box 1980 Norfolk VA 23501-1980

Change Service Requested

OUR MISSION Eastern Virginia Medical School is an academic health center dedicated to achieving excellence in medical and healthprofessions education research and patient care We value creating and fostering a diverse and cohesive faculty professional staff and student body as the surest way to achieve our mission Adhering to the highest ethical standards we will strive to improve the health of our community and to be recognized as a national center of intellectual and clinical strength in medicine

As a leader in health care wersquore known for our innovative research dedication to teaching and commitment to patient care Now wersquore challenging you Give to the EVMS 20 Twenty Capital Campaign with a gift that supports the construction of the Education and Research Building and renovations to Lewis Hall the Edward E Brickell Medical Sciences Library and the Strelitz Diabetes Center through May 2013 and for every $2 you contribute $1 more will be donated by The Mary Morton Parsons Foundationmdashup to $200000

Together we can improve EVMS and improve the health of Hampton Roads

Wersquore healthier because yoursquore here

Community Focus World Impact

wwwevmsfoundationcom

Increase the impact of your gift thanks to The Mary Morton Parsons Foundation 2 for 1 Challenge Grant

Give generously by visiting wwwEVMSfoundationcom today

is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes


EVMS and William amp Mary to explore possible merger



Dr doncel chosen to lead conrad

Student outreach heads to Haiti

Anthem Blue cross Blue shield teams with EVMS to battle diabetes

New Student Orientation

Graduates to carry on EVMSrsquo community-oriented mission




WHRO honors otolaryngology chair with community impact award

EVMS physician-scientist garners grant to study polio vaccines

Friday the 13th a typical day in the ER



Employers honored with Business Investment in Babies awards

BOOK REVIEWS


A (Diabetes-Friendly) feast fit for a king

Shrimp with spinach

Carrot casserole



Medical ULTRASOUND comes of age

A Brief History


A Bright Future

alumniConnections


EVMS grad serves veterans in Washington

Following the family path to medicine

classnotes

yoursupport


Compassion a driving force for Glennan center benefactor



toyourhealth

Helping your breathe easier

inFocus

Visit


Built by LR HiLL Custom Builders Supporting the EVMS Fund

OCtOBER 13-28 wwwhomearamatv

At its core EVMS exists and thrives because of one thing community Wersquore here because the people in this region needed better access to health care and we strive every day to meet Hampton Roadsrsquo growing needs by teaching new physicians and health professionals pushing the scientific envelope in our labs and providing high-quality care to more than 1000 patients every day





issue 51

magazine










6 8 10 12 34 43












42 In Focus

magazine issue 51






















fromthePresident






























vitalstats














news+notes



























Anne B Shumadine









news+notes




















news+notes















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news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus





issue 51

magazine










6 8 10 12 34 43












42 In Focus

magazine issue 51






















fromthePresident






























vitalstats














news+notes



























Anne B Shumadine









news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus


6 8 10 12 34 43












42 In Focus

magazine issue 51






















fromthePresident






























vitalstats














news+notes



























Anne B Shumadine









news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

fromthePresident






























vitalstats














news+notes



























Anne B Shumadine









news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

vitalstats














news+notes



























Anne B Shumadine









news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes



























Anne B Shumadine









news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus










Anne B Shumadine









news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes




















news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes















news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes















news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes
















news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus








news+notes




more than 20 years









news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes

Barry Strasnick MD























news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

news+notes

















BOOK REVIEWS








15



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus



















































wwwevmseduMyStory


wwwevmseduMyStory

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

alumniConnections




classnotes

yoursupport





toyourhealth


inFocus

king



for a

for a






Shrimp with spinach







Carrot casserole






Carrot casserole
















comes of age



hand-held unit




































alumniConnections









room After

assuming command








alumniConnections





























alumniconnections


















Looking back



yoursupport













yoursupport


















yoursupport
















yoursupport









father

Murray Waitzer









toyourhealth
















1

2

6

5


inFocus







inFocus

3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

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Shrimp with spinach

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Shrimp with spinach

Carrot casserole




A Brief History


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5


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7










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EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

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news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

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classnotes

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toyourhealth


inFocus

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5


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7










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EvEry challEngE

EVMS Magazine


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features

departments

follow us

fromthePresident

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news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

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Shrimp with spinach

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A Brief History


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5


inFocus







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3 4

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is an opportunity

EvEry challEngE

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A Brief History


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inFocus

1

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5


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3 4

7










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is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

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follow us

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BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

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classnotes

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toyourhealth


inFocus

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3 4

7










- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

departments

follow us

fromthePresident

vitalstats

news+notes



















BOOK REVIEWS



Shrimp with spinach

Carrot casserole




A Brief History


A Bright Future

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classnotes

yoursupport





toyourhealth


inFocus

- -











is an opportunity

EvEry challEngE

EVMS Magazine


upcoming events

features

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follow us

fromthePresident

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news+notes



















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Shrimp with spinach

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inFocus

A east (Diabetes-Friendly)ﬁt...death in November 2011. “Dr. Zweiler has an outstanding...

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Transcript of A east (Diabetes-Friendly)ﬁt...death in November 2011. “Dr. Zweiler has an outstanding...